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Title: Nursing Informatics


1
Nursing InformaticsDr.T.V.Rao MDTravancore
Medical College, Kollam Kerala India
2
Information technology
  • Any technology which processes and communicates
    data, includes
  • computers, voice, data and image sensing and
    communications devices, graphics devices,
    multi-media storage, etc.
  • pen, paper, telephones and fax machines

3
Health (Medical) Informatics
  • Simplistic definition
  • Medical informatics is the application of
    computers, communications and information
    technology and systems to all fields of medicine
    - medical care, medical education and medical
    research. MF Collen, MEDINFO '80, Tokyo

4
Nursing Informatics The Emerging Field
  • In all types of health care organizations,
    nursing is the hub of the information flow.
    Developing the science and technology of nursing
    informatics will enhance the information
    available to nurses for clinical practice,
    management, education, and research and will
    facilitate the role of nurses as communicators."
    -Patricia F. Brennan (1996), American Medical
    Informatics Association

5
Definitions
  • 1989Graves and Corcoran defined Nursing
    Informatics as
  • Computer science, information science, and
    nursing science combined to assist in the
    management and processing of nursing data,
    information and knowledge to support the practice
    of nursing and the delivery of nursing care.

6
Current Trends
  • 1996Turley defined Nursing Informatics as the
    intersection point with Nursing Science, Computer
    Science and Information Science.
  • 1995Graves et al, began to incorporate knowledge
    as a product of the sciences into the definition.

7
Nursing Informatics Defined
  • Nursing informatics is the integration of
    nursing, its information, and information
    management with information processing and
    communication technology, to support the health
    of people world wide.
  • International Medical Informatics Association
    Nursing Informatics Special Interest Group
    (IMIA-NI),adopted August 1998, Seoul, Korea

8
New Definition - ANA
  • Nursing Informatics is a specialty that
    integrates nursing science, computer science, and
    information science to manage and communicate
    date, information, and knowledge in nursing
    practice. Nursing informatics facilitates the
    integration of data, information, and knowledge
    to support patients, nurses, and other providers
    in their decision-making in all roles and
    settings. This support is accomplished through
    the use of information structures, information
    processes,and information technology.

  • ANA (2001). 17

9
How it all began.
  • Late 1960s first computer systems were
    implemented in hospitals
  • Computer nurses began to appear in hospitals
  • Excellent clinicians
  • Technically curious and willing to try new things

10
Nursing informatics
  • Nursing informatics is a combination of computer
    science, information science, and nursing
    science, designed to assist in the management and
    processing of nursing data, information, and
    knowledge to support nursing practice, education,
    research, and administration (Graves Corcoran,
    1989). "Information is an essential phenomenon of
    study for an information-based discipline such as
    nursing,"

11
Nursing Informatics
  • Nursing informatics can be applied to model the
    human processing of data, information, and
    knowledge within a computer system in order to
    automate the processing of nursing data to
    information and the transformation of nursing
    information to nursing knowledge.

12
Who Should Become a Nurse Informaticist?
  • You do not have to be a computer expert to
    consider a career as a nurse informaticist.
    Everyone must start somewhere. If you see the
    computer as a problem-solving tool instead of an
    inconvenience, then you are a prime candidate to
    be a nurse informaticist (Bridges, 2007).

13
Nurse Informaticist? Works with WEB support
  • In education, the nurse informaticist works with
    online, hybrid, and web supported courses. This
    may include putting courses up on the internet
    and assisting faculty with determining what
    should go on the web support sites.

14
Nursing Informatics
  • . "In the current Information Age, the doubling
    of knowledge every five years and the increased
    specialization of knowledge make it imperative
    that nurses have access to the latest scientific
    information to assist in the delivery of high
    quality care," (Hudgings, 1992,).

15
Nursing Informatics
  • Health and nursing information science is the
    study of how health care data is acquired,
    communicated, stored, and managed, and how it is
    processed into information and knowledge. This
    knowledge is useful to nurses in decision-making
    at the operational, tactical, and strategic
    planning levels of health care.

16
Nursing Informatics
  • Information systems used in health care include
    the people, structures, processes, and manual as
    well as automated tools that collect, store,
    interpret, transform, and report practice and
    management information.

17
Nursing Informatics
  • The realization that health care data and
    information can be effectively managed and
    communicated using computer systems, networks,
    modems and telecommunications has catalyzed the
    emergence of the science of nursing informatics.
    As Virginia Saba (1992) predicted,

18
Nursing Informatics
  • At present, nursing informatics is an emerging
    field of study. National nursing organizations
    support the need for nurses to become computer
    literate and versed in the dynamics of nursing
    informatics. We are at a transition period.
    Becoming educated in nursing informatics is, for
    the most party, a self-directed and independent
    endeavor. Programs that offer basic and further
    education in nursing informatics are beginning to
    spring up around the globe, but many more are
    needed to provide easy access for motivated
    nurses.

19
Nursing Informatics
  • Programs that offer basic and further education
    in nursing informatics are beginning to spring up
    around the globe, but many more are needed to
    provide easy access for motivated nurses.

20
The Benefits of NursingInformatics
  • In the practice of professional nursing
  • In the delivery of patient care in the
    healthcare continuum

21
Nursing Process
  • Communicate coordinates care with ALL other
    clinical disciplines
  • Coordinate discharge planning, education
    teaching, transition of care
  • Manages ALL information related to the nursing
    process and patient

22
What Does a Nurse Informaticist Do?
  • Nurse informaticists, also known as nurse
    informatics specialists, are specially trained to
    help manage, interpret and communicate the vital
    medical data and information that flows into and
    out of doctor's offices, hospitals, clinics and
    other health care facility computer systems.
    Nurse informaticists usually work in the
    information systems department of a health care
    setting, and they are skilled in three primary
    areas computer science, information technology
    and nursing science

23
What Does a Nurse Informaticist Do?
  • They may also make recommendations as to how to
    improve the processes and uses of computer
    programs in order to improve patient outcomes.
    For this reason, many nurse informaticists work
    as consultants. Other nurse informaticists work
    in an administrative capacity, and contribute to
    decision-making on medical information
    technology. Some nurse informaticists educate
    nurses on how to effectively enter medical
    information into a computer system, as well as
    train nurses how to use new technology.

24
Information/Database Management
  • Understand database architecturehow data is
    stored and accessed
  • Nursing structure
  • Nomenclature/vocabulary
  • Taxonomies and Coding Schemes
  • ICD-P, CPT
  • Nursing Minimum Data Sets
  • NIC,NOC, NANDA,

25
Computer Technology
  • Understanding of the actual technology Networks
  • Personal computers
  • Portable devices
  • Operating systems
  • Software

26
Exam Focus Areas
  • System Analysis and Design
  • System Implementation and Support
  • System Testing and Evaluation
  • Human Factors
  • Computer Technology
  • Information/Database Management
  • Professional Practice/Trends and Issues
  • Theories

27
Automation of Documentation
  • Why automate documentation not only for nursing
    but for all of patient care?
  • Up-to-date, accurate information of each step of
    the Nursing Process is the Power behind safe,
    high quality patient-centered care

28
Successful implementation of Information
Automation
  • Systems requires
  • Well designed systems that support Nursing
  • Process within the culture of an organization
  • and/or specific care providers
  • Acceptance integration of information systems
  • into the regular workflow of nursing process
  • patient care
  • Resources that can support the above

29
The Value of Nurse Informaticists
  • Support nursing work processes using
  • technology
  • Design systems to match clinical workflows
  • ? Telehealth
  • ? Home health
  • ? Ambulatory care
  • ? Long-term care
  • ? Acute care all specialties
  • ? Outpatient settings
  • ? Software development
  • ? Redesign work flows

30
The Value of Nurse Informaticists
  • Increase the accuracy and completeness
  • of nursing documentation
  • Improve the nurses workflow
  • Eliminate redundant documentation
  • Automate the collection and reuse of nursing
    data
  • Facilitate analysis of clinical data
  • JCAHO indicators, Core Measures, federal or
    state
  • mandated data and facility specific data

31
The Benefits of Nurse Informaticists
  • Nurse Informaticists promote and facilitate
  • Access to resources and references for nurses
    and the entire interdisciplinary team in both
    clinical and administrative settings Change

32
The Benefits of Nurse Informaticists
  • Benefits for nurses and the interdisciplinary
    team
  • Support for their mission to deliver high
    quality, evidence-based care Support for better
    service by facilitating true interdisciplinary
    care
  • Promotes improvement in key relationships with
  • ? physicians
  • ? peers
  • ? interdisciplinary care team members
  • ? patients
  • ? families

33
The Benefits of Nurse Informaticists
  • Benefits in the administrative setting
  • Support for cost savings and productivity goals
  • Facilitate change management

34
What Does the Nurse Informaticist Do?
  • The role of the nurse informaticist is partially
    dependent on the place of employment. In acute
    and long term care, the role is to be a liaison
    between the IT department and nursing. This nurse
    assists in choosing the appropriate system for
    electronic health records and then works with the
    nursing staff to use the system in providing
    patient care.

35
The Many Roles of aNurse Informaticist
  • Vendors
  • Acute care - Hospital Systems
  • ? Consultant
  • ? Education/Research
  • ? Long-term care
  • ? Ambulatory
  • ? Home care

36
The Many Roles of aNurse Informaticist
  • Vendors
  • Sales
  • Software development
  • Implementation
  • Education to train clients/users

37
The Many Roles of aNurse Informaticist
  • Hospital Systems
  • Analyst Support/Implement Systems
  • Directors/Managers of Nursing Informatics
  • Project Managers
  • CIO (Chief Information Officer)

38
The Many Roles of aNurse Informaticist
  • Software Implementation
  • Software/System Solution Selection
  • Process Improvement
  • Project Management

39
The Many Roles of aNurse Informaticist
  • Other -Education/Research
  • Compilation/Analysis of Data Public Policy
    Government HealthCare IT initiative
  • Insurance organizations

40
Online Journal of Nursing Informatics
  • The Online Journal of Nursing Informatics (OJNI)
    is a free, international, professional, refereed
    publication that focuses on nursing informatics
    in all practice settings. OJNI is committed to
    addressing the theoretical and practical aspects
    of nursing informatics as it relates to the art
    of nursing. CINAHL indexes the journal.

41
Professional Organizations
  • The Alliance for Nursing Informatics is a
    collaboration of over 25 organizations,
    representing a unified voice for nursing
    informatics. Join one today!

    www.allianceni.org

42
Follow me for More Articles of Interest on
Medical Informatics
43
  • Programme created by Dr.T.V.Rao MD for benefit of
    Nursing Professionals in the Developing World
  • Email
  • doctortvrao_at_gmail.com
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